Efficacies of Different Managements in Patients With Trigger Finger

NCT06382623 | Completed

• 1 other identifier: 43
• Study Type: observational
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of the study is to compare the effectiveness of peritendinous steroid injection under ultrasound guidance and percutaneous A1 pulley release procedures in terms of disease stage, pain, and severity of locking in patients with trigger finger.

Conditions

Trigger Finger

Outcome Measures

Primary Outcomes (1)

• Stage of the disease

  Modified Quinnel classification Stage 1: Normal movement, no pain. * Stage 2: Normal movement, occasional pain. * Stage 3: Irregular movement (catching without crepitus or locking). * Stage 4: Locking present, actively correctable. * Stage 5: Locking present, passively correctable.

  first week, first mount, third month

Secondary Outcomes (2)

• Pain intensity

  first week, first month, third month

• severity of triggering

  first week, first month, third month

Study Arms (2)

The peritendinous steroid group

A 1 ml mixture of corticosteroid (2 mg + 5 mg/ml betamethasone) and 1 ml of local anesthetic agent (20 ml 2% prilocaine) was injected peritendinously between the A1 pulley and the flexor tendon sheath at the metacarpophalangeal joint level under ultrasound guidance.

Other: The peritendinous Betamethasone group

The percutaneous A1 pulley release group

In the A1 pulley release group, 1 ml of local anesthetic agent (20 ml 2% prilocaine) was injected into the pulley-associated subcutaneous tissue using a 27 G needle under ultrasound guidance. The metacarpophalangeal joint was brought into slight hyperextension. Subsequently, a 20 G 0.9x38mm needle, modified by bending approximately 40-45 degrees from the proximal 1/3 of the needle with the aid of a cap, was used. The needle was advanced in-plane from distal to proximal along the midline, with simultaneous movement towards the palmar surface, aiming to cut or loosen the pulley between the tendon and A1 pulley. The loosening procedure was repeated from the distal to proximal aspect of the pulley until the sensation of resistance at the needle tip disappeared.

Procedure: The percutaneous A1 pulley release

Interventions

The percutaneous A1 pulley release PROCEDURE

Ultrasound-guided percutaneous pulley release is a procedure aimed at loosening the pulley using various cutting instruments or hypodermic needles under ultrasound guidance.

The percutaneous A1 pulley release group

The peritendinous Betamethasone group OTHER

USG-guided injection of corticosteroid between the A1 pulley and the flexor tendon sheath.

The peritendinous steroid group

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

older 18 ages

You may qualify if:

• Being over 18 years of age
• Having had trigger finger complaints for more than 1 month
• Not having received any injections for trigger finger diagnosis within the last 1 month
• Signing the informed consent form indicating willingness to participate in the study

You may not qualify if:

• Refusing to participate in the study
• Presence of partial or complete tendon rupture in the relevant tendon of the finger to be treated
• Presence of wounds and infection in the area where the procedure will be performed
• Pregnancy status
• History of allergy to the injected medications (local anesthetic, steroid)

Sponsors & Collaborators

• Gaziler Physical Medicine and Rehabilitation Education and Research Hospital: lead

Study Sites (1)

Gaziler Physical Medicine and Rehabilitation Education and Research Hospital

Ankara, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Trigger Finger Disorder

Condition Hierarchy (Ancestors)

Tendon Entrapment; Tendinopathy; Muscular Diseases; Musculoskeletal Diseases

Study Officials

• zeliha gizem mac, MD

  university of health sciences, Department of PM&R

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: principal investigator

Study Record Dates

• First Submitted: April 8, 2024
• First Posted: April 24, 2024
• Study Start: October 1, 2022
• Primary Completion: June 30, 2023
• Study Completion: June 30, 2023
• Last Updated: June 6, 2024

Record last verified: 2024-06

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)